UM Guidelines

	Added to Clinical Indications:
	Procedure is indicated for ...
	Severity of obesity judged appropriate for procedure as indicated by... Patient is candidate for bariatric surgery as indicated by... ... Patient is receiving treatment in multidisciplinary program that can provide... ... Preoperative medical consultation [and approval from primary care physician, nurse practitioner or physician assistant]* ...

References

American Association Of Clinical Endocrinologist, American College Of Endocrinology, The Obesity Society, American Society For Metabolic & Bariatric Surgery, Obesity Medicine Association, American Society Of Anesthesiologist. (2019, December). 2019 Guidelines. AACE/TOS/ASMBS/OMA/ASA clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures. Retrieved March 17, 2020 from https://journals.aace.com/doi/pdf/10.4158/GL-2019-0406.

BlueCross BlueShield of Tennessee network physicians. April - May 2024.